Individual
NATHAN QUINTEN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9376 E BAHIA DR, SUITE 103, SCOTTSDALE, AZ 85260-1532
(480) 556-8406
(480) 607-5840
Mailing address
9376 E BAHIA DR, SUITE 103, SCOTTSDALE, AZ 85260-1532
(480) 556-8406
(480) 607-5840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4197
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1175
HEALTH NET NUMBER
AZ
01
—
AZ0461720
GROUP BCBS NUMBER
AZ
Enumeration date
01/08/2007
Last updated
10/09/2007
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